自体脂肪颗粒填充矫治中老年上眼窝凹陷的效果评价(1)
[摘要]目的：评价自体脂肪颗粒填充术矫治中老年就医者上眼窝凹陷的治疗效果，探讨其治疗体会。方法：选择2015年1月-2017年5月笔者医院收治的86例(165眼)上眼窝凹陷的中老年就医者为研究对象，采用注射器抽取就医者自身大腿内侧或臀上部的脂肪颗粒，经过清洗、离心、纯化，将其移植在上眼窝凹陷区。术后随访1年，观察就医者的治疗效果及术后并发症发生情况。结果：86例就医者的上眼窩凹陷均得到明显改善，70例经过1次填充眼窝形态满意，16例经过2次填充后眼窝形态满意；无脂肪液化、感染及血肿等术后并发症发生；就医者正常生活及工作不受影响。结论：自体脂肪颗粒填充术矫治中老年就医者上眼窝凹陷，治疗效果好，安全性高，术后并发症少。
[关键词]自体脂肪颗粒；填充；上眼窝凹陷；中老年就医者；治疗效果；评价
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0083-03
, http://www.100md.com Abstract： Objective To evaluate the therapeutic effect of autologous fat granules filling technique on middle aged and elderly patients with upper eye socket depression， in order to discuss the treatment experience. Methods 86 cases(165 eyes) of middle aged and elderly patients with upper eye socket depression which was taken as research objects in our hospital from January 2015 to May 2017. The fat particle was extracted in inner thigh or upper buttock of patients and it was transplanted to hollow-eye socket region after rinse， centrifuge and purification. All the patients were followed up for one year after operation， the therapeutic effect and postoperative complications were observed. Results The upper eye socket depression of all patients were obviously improved. The form of eye socket was satisfying in 70 cases of patients after one time of filling technique， the form of eye socket was satisfying in 16 cases of patients after two times of filling technique. There was no postoperative complications， such as fat liquefaction， infection， hematoncus and so on. Conclusion The therapeutic effect was good， safety was high and postoperative complications were low of autologous fat granules filling technique in correcting of upper eye socket depression of middle aged and elderly patients.
, http://www.100md.com
Key words： autologous fat granules； filling； upper eye socket depression； middle aged and elderly patients； therapeutic effect； evaluation
多种原因均可导致眼窝凹陷，其不仅能够对就医者心理造成创伤，还能够给就医者的社会生活带来很多不利。近年来，美容整形医学得到迅猛发展，眼窝凹陷得到了较大程度的改善，使得就医者看到了希望[1-2]。随着脂肪抽吸技术及脂肪颗粒活化因子的发现，自体脂肪颗粒填充术成为面部凹陷及萎缩、眼窝凹陷的一种重要治疗手段[3-4]。随着社会的进步及人们生活水平的提高，以及对生活态度及美学观念的转变，越来越多的人们希望能够通过手术改善自身的眼窝等面部凹陷，以期获得美好外形[5-6]。本研究采用自体脂肪颗粒填充术对2015年1月-2017年5月笔者医院收治的86例上眼窝凹陷的中老年就医者进行了矫治，效果满意。现报道如下。
, http://www.100md.com
1 资料和方法
1.1 一般资料：以2015年1月-2017年5月笔者医院收治的86例(165眼)上眼窝凹陷的中老年就医者为研究对象，其中男6例，女80例；年龄45～80岁，平均(62.33±8.54)岁；先天性眼窝脂肪缺少者46例，眼窝脂肪自我吸收者30例，手术或外伤致眼窝脂肪缺失者10例。排除临床资料不完整、依从性差、严重心脑肺血管疾病、凝血功能障碍等就医者。本研究经过医院医学伦理委员会审核批准，均自愿签署知情同意书。
1.2 方法[7-8]：脂肪颗粒均来源于大腿内侧或臀上部。采用注射器吸取1%利多卡因加副肾0.5mg的生理盐水100ml，再于大腿内侧或臀上部的脂肪层进行负压抽吸脂肪颗粒10～15ml。使用生理盐水反复漂洗脂肪颗粒至澄清，采用静置悬浮法沉淀后离心纯化将上层游离脂肪及下层液体去除备用。, 百拇医药(张新成 张姣姣)
[关键词]自体脂肪颗粒；填充；上眼窝凹陷；中老年就医者；治疗效果；评价
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0083-03
, http://www.100md.com Abstract： Objective To evaluate the therapeutic effect of autologous fat granules filling technique on middle aged and elderly patients with upper eye socket depression， in order to discuss the treatment experience. Methods 86 cases(165 eyes) of middle aged and elderly patients with upper eye socket depression which was taken as research objects in our hospital from January 2015 to May 2017. The fat particle was extracted in inner thigh or upper buttock of patients and it was transplanted to hollow-eye socket region after rinse， centrifuge and purification. All the patients were followed up for one year after operation， the therapeutic effect and postoperative complications were observed. Results The upper eye socket depression of all patients were obviously improved. The form of eye socket was satisfying in 70 cases of patients after one time of filling technique， the form of eye socket was satisfying in 16 cases of patients after two times of filling technique. There was no postoperative complications， such as fat liquefaction， infection， hematoncus and so on. Conclusion The therapeutic effect was good， safety was high and postoperative complications were low of autologous fat granules filling technique in correcting of upper eye socket depression of middle aged and elderly patients.
, http://www.100md.com
Key words： autologous fat granules； filling； upper eye socket depression； middle aged and elderly patients； therapeutic effect； evaluation
多种原因均可导致眼窝凹陷，其不仅能够对就医者心理造成创伤，还能够给就医者的社会生活带来很多不利。近年来，美容整形医学得到迅猛发展，眼窝凹陷得到了较大程度的改善，使得就医者看到了希望[1-2]。随着脂肪抽吸技术及脂肪颗粒活化因子的发现，自体脂肪颗粒填充术成为面部凹陷及萎缩、眼窝凹陷的一种重要治疗手段[3-4]。随着社会的进步及人们生活水平的提高，以及对生活态度及美学观念的转变，越来越多的人们希望能够通过手术改善自身的眼窝等面部凹陷，以期获得美好外形[5-6]。本研究采用自体脂肪颗粒填充术对2015年1月-2017年5月笔者医院收治的86例上眼窝凹陷的中老年就医者进行了矫治，效果满意。现报道如下。
, http://www.100md.com
1 资料和方法
1.1 一般资料：以2015年1月-2017年5月笔者医院收治的86例(165眼)上眼窝凹陷的中老年就医者为研究对象，其中男6例，女80例；年龄45～80岁，平均(62.33±8.54)岁；先天性眼窝脂肪缺少者46例，眼窝脂肪自我吸收者30例，手术或外伤致眼窝脂肪缺失者10例。排除临床资料不完整、依从性差、严重心脑肺血管疾病、凝血功能障碍等就医者。本研究经过医院医学伦理委员会审核批准，均自愿签署知情同意书。
1.2 方法[7-8]：脂肪颗粒均来源于大腿内侧或臀上部。采用注射器吸取1%利多卡因加副肾0.5mg的生理盐水100ml，再于大腿内侧或臀上部的脂肪层进行负压抽吸脂肪颗粒10～15ml。使用生理盐水反复漂洗脂肪颗粒至澄清，采用静置悬浮法沉淀后离心纯化将上层游离脂肪及下层液体去除备用。, 百拇医药(张新成 张姣姣)
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